In a recent meta-analysis of 23 randomized trials involving more than 2,000 patients in which epidural steroid injections were compared with placebo for sciatica, epidural steroid injections produced small, statistically insignificant short-term improvements in leg...

As Sackett wrote, “External clinical evidence can inform, but can never replace, individual clinical expertise, and it is this expertise that decides whether the external evidence applies to the individual patient at all and, if so, how it should be integrated into a...

“Hence, despite a lack of symptoms, flatfoot deformity in asymptomatic flat feet affected function. Yet, contrary to what was expected, symptomatic flat feet did not show greater deviations in 3D foot kinematics than asymptomatic. Symptoms may rather depend on...

In the recent Journal of Electromyography and Kinesiology, author Paul Hodges attempts to explain the changes we see both in the acute and chronic stages of pain syndromes. Pain creates condition specific patterns of excessively tight or weak muscles. In essence, the...

“Find it, fix it, leave it alone” may be more accurate if someone added “repeat ad infinitum”. Addressing joint restrictions without addressing the biomechanical fault that likely created the problem is like beginning fire restoration before the fire is out. A key to...

Chiropractors proudly tell patients “we don’t just mask the symptoms- we treat the cause!”- And then go on to adjust C5 fourteen visits in a row because it keeps “going out”. Treating the site of a patient’s pain should not be confused with addressing the cause of...